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RJ - LEAK DETECTOR TEST REPORT <br /> Completion of this report is required for all mechanical leak detector testing <br /> Valero Location Testing Company <br /> Store #: Name: Date of Test: <br /> 698 Tanknology 2/15/2012 <br /> Address: Address: Technician Name (print): <br /> 153 E 11TH STQC-0-3 11000 N Mopac Expwy #500 Steven Willems <br /> -----------. ----------- ------..------------- <br /> City/ State: City/ State: Technician Certification #: <br /> TRACY, CA Austin, TX <br /> Test Equipment Used Test Method Used <br /> Make/Model ..Ta-n-knology LDT,_5000 r AVO W FTA r FXT <br /> (RJ 21) (RJ 20) (RJ 051-272-1) <br /> Type of Leak Detectors tested <br /> r XLD r XLP I— BFLD r DLD r PLD r BFLD r FX1 <br /> r FX1D r FX2 r FX2D r FXIBFLD r FX2BFLD r FX1DV r FX2DV <br /> r FX1V r FX2V r OTHER <br /> TEST INFORMATION <br /> UL Leak <br /> Func. Element Test Leak <br /> UL+ Detector Serial Resiliency Opening Metering Pass Or <br /> SU T e see Number (check valve) Rate ml/min <br /> YP ( (ml) Holding PSI Time (sec) or al/hr. PSI Fail <br /> DIE above 9 9 <br /> 1 UNLEADED Red Jacket 5019 75.00 16.00 4 189.0 3.00 12 Pass <br /> FX1V <br /> 3 PREMIUM Red Jacket 4578 90.00 21.00 3 189.0 3.00 12 Pass <br /> FX1V <br /> Technician Signature: LQILw Date:2/15/2012 <br /> WO: 2302034 <br />